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4136 Meadowlark WayCITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE. Zoning: No. of Units. Owner Address: Site Address - Plumber: Meter No.: Connection Charge. Size: Account Deposit: Reader No.: Permit Fee. I agree to comply with the City of Eagan Surcharge. Ordinances. : Misc. Charges. Total. By Date Paid - Date of Insp • Insp • CITY OF E N SEWER SERVICE PERMIT 3830 Pilot o� Mid�+ -� P. O. Erox 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: �`f No. of `Units: Owner: ;LC.:taO r lut"t" Address: Site Address: Plumber: 1 agree to comply with the City of Eagan Connection charge: k- 5 .no Ordinances. \ =C ` AccoO4t posit: Permit Fie: B Surcharge: Y _ _ Misc. Charges: Date of Insp.: Total: Insp.: Dote Paid: 4,11 C!ty of Eaaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: Use BLUE or BLACK Ink For Office Use 'ij� �) Permit #: L ,/v f Permit Fee: , , Date Received: (11.. 113 1 Staff: J 2013 RESIDENTIALBUILDING PERM-/ IT APPLICATI4 Site Address: 11 /o/09 /uL114 1� '/l Ll2%/_-gia / Name: k.DX)1» 1) t'Y\ Y(1004€. Phone: cIl 1)Fi1' Address / City / Zip: Applicant is: Owner Contractor Description of work: +eM oc--C nozoF maiior sr�l1>,►c� }�'t s /// Multi -Family Building: (Yes X. / Ott► ) Construction Cost: 46Z_ 00 Cor Company: AAA) ler i O fS Ay S ii./4 :.A- Contact: 5h(/ t Address: 1070! `?J Aor . N • City: 1/104 Cro f% State: f 1/y Zip: 5 3(05 Phone: C%3 -3 t/0S` // 0 0 License #: 1/4R___ .( 13 a Lead Certificate # !V: 41 674/0 - l If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: supporting documents that you submit a 'con naybe clase%lle ►apt Corr -public if you provide sj Jude that 'c CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www_gooherstateonecall.org 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota S days of permit issuance. . dawL VSs Applicant's Printed Name ltiiaq F be completed within 180 icant's Signa Page 1 of 3 City of Eagan PERMIT City of Eaan Permit Type: Mechanical Permit Number: EA131919 Date Issued: 07/14/2015 Permit Category: ePermit Site Address: 4136 Meadowlark Way Lot: 5 Block: 8 Addition: Hillandale 2nd PID: 10-32951-08-050 Use: Description: Sub Type: Residential Work Type: Replace Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary: ME - Permit Fee (Replacements) $59.00 Surcharge -Fixed $1.00 0801.4088 9001.2195 Total: $60.00 Contractor: Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 - Applicant - Owner: Hue Ngoc T Nguyen 4136 Meadowlark Way Eagan MN 55122--173 (952) 240-1570 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature City of Eagan PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA132093 Date Issued: 07/24/2015 Permit Category: ePermit Site Address: 4136 Meadowlark Way Lot: 5 Block: 8 Addition: Hillandale 2nd PID: 10-32951-08-050 Use: Description: Sub Type: Residential Work Type: Replace Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary: PL - Permit Fee (WS &/or WH) $59.00 Surcharge -Fixed $1.00 0801.4087 9001.2195 Total: $60.00 Contractor: Norblom Plumbing 1465 Selby Ave St Paul MN 55104 (612) 827-4033 - Applicant - Owner: Hue Ngoc T Nguyen 4136 Meadowlark Way Eagan MN 55122--173 (952) 240-1570 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature I-For Office Use jØ Permit#: j „,..... ........ kt Ce,,,, E AG A N .... , F 6,Permit Fee: j Date Received: 1:—/- 1 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 �E�� 7.'; i (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675- 4 APR n 3 Staff:_ ��� buildinuinspections(a�cityofeauan.com R 1019 . 2019 RESIDENTIAL BU . , - ' IT APPLICATION Date: Site Address: N '/13Z fY i.,I0.4,,'< to a ,, Unit#: Name: Phone: Resident/ Owner Address/City/Zip: Applicant is: Owner Contractor Type of Work Description of work: PLi_/4 ,',t• `' C c ryli'.1.) 9'(;`)-- kJ Construction Cost: iCSC' Multi-Family Building: (Yes /No ) Company: 0Cktc., =' `.( n -1`'vt,f?i Contact: l l'rx4- j)1i/N) i �' Contractor Address: Z/4-I ) 5i/./e- a.0 g 1 City: 6-'-'9/'•-) State:i \I' Zip: �l �ZZ Phone: (61,5I-Z ll) -Ioc(Email: 1 fin fts/i C J`.) �'� rrv`/, Cb',"', (G,%5-00 C License#: I ti9 Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: 5r(-,-,)- 2'C 1� �� }a'c`�J T�I 1 Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be I classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is no o start without a permit; that the work will be in accord nce with th approved plan in the case of work which requires a review and approva of p 1 la s'. l ' ' x ( // TL v1'/v' x • L4 I' Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE1f /1)6AI;(.0 k a- .,b6 11-- ! &—29 SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family) _ Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi yO Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous \I 01 of,�Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration Fire Repair _ Windows _ Demolish Foundation j Replace _ Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation (J39' - --- Occupancy 1ZL^3 MCES System Plan Review Code Edition {in/) 2.19)5— SAC Units (25% 'A 100%_) Zoning ?b City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction vas Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) '' Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool: Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding: Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan� / Other: j' Reviewed By: le' � in;rC hzj9 , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 r For Office Use E < t e f r Permit#: /-- (716b r t r e E AG A ^� e` e� s.` .e 5 d i) Permit Fee: N1,ECEIV� Date Received: -: 1/ 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 APR 0 3 ^r3f, (651)675-5675 TDD: (651)454-8535 FAX: (651)675- `� Staff: buildinginspections(a�cityofeagan.com BY J .......................................... 0 2019 RESIDENTIALJJBUILDING PERMIT APPLICATION Date: Site Address: // — I- n 40 ino,aCr%i6'/�. Lu"t Unit#: Name: Phone: Resident/ Owner Address/City/Zip: Applicant is: Owner Contractor Description of work: PC C A ,2,„/,..,C I)i .1 4 t° /( pen.�'�''`e`� Type of Work ( 4) Construction Cost: i)5_CCS Multi-Family Building: (Yes /No ) Company: 54�G. 0,.. <.-‘5 ^v i J7' I Contact: l ,��' Y / 11 Address: Z/ 1 3 jiv/r /I J - City: �Y)/ Contractor , , E I State:t • Zip: �l �Z Z Phone: ("57-2 Jo o -/OOcEmail: ( /7^ 1 /J'�`� t'F(rvi/' el,,','` I License#: (G'SL'o I tD Lead Certificate#: If the project is exempt from lead certification, please explain why: 4 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ' In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? ., �� l /4 POLY,/ T/11 ' 7\ Yes No If yes, date and address of master plan: �� r�� - 2C. �� / Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not o start without a permit; that the work will be in accord nce with th approved plan in the case of work which requires a review and approva of pia s. If x (� I fn 11,J x Li r 1 Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE ' l s , 4W/&' L 4 /_,,-.q&60 SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family) Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) Multi r) Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous y- 01 of lex — Lower Level Pool — Accessory Building WORK TYPES New Interior Improvement _ Siding _ Demolish Building* Addition Move Building Reroof _ Demolish Interior _ Alteration — Fire Repair — Windows _ Demolish Foundation Replace _ Repair _ Egress Window Water Damage y()Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 4 S_5-D&,.— Occupancy 'I-3 MCES System Plan Review Code Edition /L 4 2' i S SAC Units (25%r 100%_) Zoning 17',� City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings 1 ' Length Fire Suppression Required Type of Construction V 3 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: \D Footings (Deck) Final/C.O. Required L Footings (Addition) AD Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows .p Sheathing Zo Retaining Wall: Footings eCBackfill Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan L Other: / Reviewed By: t 'JA P?n- , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA174833 Date Issued:02/22/2022 Permit Category:ePermit Site Address: 4136 Meadowlark Way Lot:5 Block: 8 Addition: Hillandale 2nd PID:10-32951-08-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Hue Ngoc Thi Nguyen 4136 Meadowlark Way Eagan MN 55122--176 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature